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Willow Street 0501
CITY OF PORT TOWNSENDDate Permit lssued:1. CommercialorDomestic2. Distance fromproperty line tosewermain3. Distance fromhousebuilding line toproperty line4. Minimumgrade frommainto5. Distancefrom M.H. No.6. Depth ofsewer main atwyeSIDE SEWER AS-BUILTPERIUIIT NO.Site Address:lnspected By:JointlnspectorContractor:Date:uI4IeDatconnectionfrtt'r{)rst,fl$$7//8.F2DATA\FORMS\sidesewer. asbu ilt.frrn. doclineto9.of Pipe